Chen Cang and Chen Bingsheng came out to wash their hands and change their surgical gowns. Then there was a second operation, which was linked.
The emergency room surgery is not done independently and is not very serious, but it is relatively busy, and there are many things in the emergency department, which is basically a full day.
The second patient was a strong man in his fifties. He could see that he was in good physical condition. He had appendicitis caused by eating barbecue and drinking beer. He didn't pay much attention. After taking some anti-inflammatory drugs, he should continue to eat the next day Eat and drink.
Later caused appendicitis to worsen, and suppurative appendicitis caused.
来 He came to the hospital here. The first sentence of this big brother is:
"Doctor, you have cut my appendix, it happens every day and affects me drinking!"
Cang Chen: ...
What is the logic? ? ?
Why does it make sense to me?
沧 Cang Cang explained patiently: "It is because of appendicitis caused by drinking and eating disorderly, not because your appendix hinders you from drinking, you have to have some healthy common sense and consciousness."
大 This elder brother is also a tiger, holding his stomach and laughing, he said, "Appendix, something outside the body, just cut it; drinking, fun in life, what is it ?!"
Alas, kinda rhyme.
Aroused the laughter of the little nurses.
Brother Bong, didn't you come for surgery? Are you talking about cross talk?
I do n’t charge you money, can I pay you a ticket?
沧 Cang Cang had to give a thumbs up, he could tell the fallacies and heresies to a doctor with a noble character, a firm will, a solid foundation, a solid skill, a skilled doctor, and a doctor who shakes my mind.
You **** really a personal talent!
都 I want to take out my Italian cannon and give you a round of applause.
This is not, lying on the bed, smooth body, this brother still said very firmly: "Doctor, cut it for me, I want to see this guy ravages my body, torture my soul, I want to take Go back and stew for dogs! "
Cang Chen: ...
Chen Bingsheng: ...
The master and apprentice sighed involuntarily.
At the beginning of the operation, Chen Bingsheng said to Chen Cang, "This person may be different from the previous one. You will know by opening your belly and exploring, don't panic."
Chen Cang nodded.
后 After anesthesia was about to start surgery, the patient suddenly said, "Doctor! Wait!"
Chen Cangyi: "What's wrong?"
The patient smiled awkwardly: "Can you make this knife sharper for me! Yes, it is the kind of fierce evil, it looks like it was cut with a knife?"
Chen Cang was speechless: Do you want to save money?
I went out and told the reporter, another medical trouble report: a patient with an appendix cut by a doctor with a scalpel on his stomach graffiti is a moral loss or a distortion of human nature!
The patient coughed and said, "I'm going to go bragging in the future, so I said, I was cut by a knife, and it hurt me at the time, I didn't say anything, and I got 36 stitches at the end! When I drink later "Put your clothes on. This scar is so handsome. Tattoos are too low for me!"
Chen Cang ignored him.
This 厮!
I said cross talk!
It was freestyle just now.
The anesthesia time is almost up, and Chen Cang starts the operation.
麦 Take a right lower abdominal incision into the abdomen and cut the skin 6cm.
切 Cut the dermis and subcutaneous fat layer layer by layer. At this time, Chen Bingsheng took the initiative to stop bleeding by coagulation.
Yes, the little followers have great eyesight!
沧 Cang Cang glanced at Chen Bingsheng with satisfaction and expressed encouragement!
Chen Bingsheng stunned and stared: Is it itchy?
Cut the external oblique tendon of the abdominal oblique muscle layer by layer, separate the external oblique and internal oblique muscle, lift and cut the peritoneum into the abdomen.
At this moment, the abdominal cavity was displayed in front of Chen Cang.
Sure enough, as Chen Bingsheng said, there may be differences.
沧 Chen Cang was cautious when inspecting the abdominal cavity.
Cang Cang can now see that [Celiac Omentum] is green, and there should be no adhesion of abdominal inflammatory pus, relieved!
Just ...
大量 There is a large amount of purulent exudate in the right lower abdomen.
[Cecum] green, no problem,
The position of the appendix is just in front of the cecum. Through the great omentum, Chen Cang sees the appendix that is obviously congested and thickened.
The appendix at this time has been exposed in front of Chen Cang, Hongming!
And, even more red than before!
The crimson word [Appendix] seems to be telling Chen Cang that this monster level may be higher.
The pupal is about 10cm in length and 1.5cm in diameter. It has been purulent and has high tension. The gangrene of the appendix root is perforated by its peripheral fat papillae.
Cang Cang naturally saw all this!
【Ding! Rare appendix: This is an acute purulent perforated appendix. lv12. 】
Chen Cang thoughtfully:
Is there any equipment exposed to kill this rare monster?
Even if you do n’t explode the equipment, you should have more experience and money?
Cang Cang fully exposed the surgery field!
Prepare for surgery!
"Gauze!"
"Hemostatic forceps!"
"Ligament the appendix!"
"Aspirate!"
Uh ...
This operation is not the same as before, and the rare blame has brought a lot of trouble to Chen Cang!
Surgery is no longer as simple as before.
沧 Cang Cang cut off the appendix and put the cut off appendix into the plate.
"Stone carbonate injection 5ml."
"alcohol cotton"
"20ml normal saline!"
Chen Cang needs to clean the mucosa of the appendix stump to prevent further infection.
After the sacrifice, suture work is performed. This type of wound is typically covered with a suture along with local adipose tissue suture.
These are the basic operations, so Izawa. UC Reading
Finishing work!
Chen Cang gave Chen Bingsheng a look: the assistant quickly finished! ?
How do you look at me for Mao?
Usually, as the main knife, isn't this the look at this time?
反思 Chen Cang's reflection: Isn't the essence of my ophthalmology insufficient?
Chen Bingsheng glared back: "瞅 What 瞅? Hurry up and end!"
Chen Chen Cang: "Is this what the main knife should do? Didn't you give it to me every time at this time ????"
For a moment, Qin Lele, the equipment nurse next to him, couldn't help laughing: "Don't be naughty, hurry up!"
沧 Cang Cang was helpless, thinking that he should have the posture and style of the main sword, but found that he still has no human rights ...
Helpless Chen Cang started to exhaust the abdominal cavity and pelvic cavity to see that there was no active bleeding. One drainage tube was placed in the right popliteal fossa, and another hole was drawn next to the incision.
Equipment nurses also started to count gauze instruments.
"Okay, it's all!" The equipment nurse ordered.
Chen Cang closed the abdomen layer by layer.
Surgery is complete!
【Ding! Kill rare appendix monsters: Acute purulent perforated appendix, gain experience +200, RMB +200, and experience with appendectomy +200. 】
【Ding! Congratulations on getting a suture needle (white)! 】
Cang Cang eyes widened, I Cao? ? ?
I……
I……
Hahahaha, it's out!
White suture needle?
What is the use?
Look fast!
Can you count the air every second?
[Suture Needle (White): Sharp +1]
Cang Cang Yi 愣?
So?
Gone?
What is the situation of sharp +1?